Jessica C Boothe, MSOT, OTR/L, CLT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT14340 Issued in FL

Practice address

804 Pine Alley St
Fort Walton Beach, FL 32547-1216

Phone

(860) 803-6683

Fax

(888) 857-4412

NPI assigned

Aug 30, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Addresses

Other names 1

• Jessica C Maresh Former name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mobile Lymphedema Clinic LLC

  • Occupational Therapist
  • Fort Walton Beach, FL
  • NPI 1104706837

  Multi-Specialty

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1194006601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 PINE ALLEY ST",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471216",
            "telephone_number": "850-803-6683",
            "fax_number": "888-857-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 PINE ALLEY ST",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471216",
            "telephone_number": "860-803-6683",
            "fax_number": "888-857-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTHE",
        "first_name": "JESSICA",
        "middle_name": "C",
        "credential": "MSOT, OTR/L, CLT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-30",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XE1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Ergonomics",
            "state": "FL",
            "license": "OT14340",
            "primary": false
        },
        {
            "code": "225XH1300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Human Factors",
            "state": "FL",
            "license": "OT14340",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT14340",
            "primary": true
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Gerontology",
            "state": "FL",
            "license": "OT14340",
            "primary": false
        },
        {
            "code": "225XE0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Environmental Modification",
            "state": "FL",
            "license": "OT14340",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "FL",
            "license": "OT14340",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "MARESH",
            "middle_name": "C",
            "credential": "MSOT, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sheryl (Sherry) Whitman Boles, LMHC
• Wesley Boles, RN BSN MBA
• Lynda E Bolt, LMHC
• Sherry Bonner, RD
• Jason Redwood Boole, M.D.
• Ofelia K Borlongan, M.D.
• Katrina Pendleton Borner, ARNP
• Rebecca A Bortnyik, LMHC
• Lon A Boutiette, MD
• Shanna Bowden

• Occupational Therapist in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.